Individual
MRS. LAUREN NICOLE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-3907
(417) 269-8260
Mailing address
1423 N JEFFERSON AVE, SPRINGFIELD, MO 65802-1917
(417) 269-3907
(417) 269-8260
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2008021812
MO
Other
Enumeration date
11/04/2008
Last updated
11/07/2008
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